﻿<%@ Page Language="C#" AutoEventWireup="true" CodeFile="CX_GBook_Add.aspx.cs" Inherits="aspnet_admin_bock_Gbook_CX_GBook_Add"  ValidateRequest="false" %>

<%@ Register Assembly="web表单验证控件" Namespace="CheckForm" TagPrefix="cc1" %>

<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">

<html xmlns="http://www.w3.org/1999/xhtml" >
<head runat="server">
    <title>无标题页</title>
    <link rel="stylesheet" type="text/css" href="../../css/css.css" />
</head>
<body>
    <form id="form1" runat="server">
    <div>
      <table align="center" border="0" cellpadding="2" cellspacing="1" class="border" height="116"
        width="100%">
        <tr align="center">
            <td  colspan="2" style="height: 30px">
                <strong>添加留言</strong></td>
        </tr>
        <tr>
            <td  width="223" style="height: 22px">留言主题:</td>
            <td  width="787" style="height: 22px"> &nbsp;<cc1:formvalidation id="CX_Gbook_Name" runat="server" 
                    datatype="Require" maxlength="50"
                    width="368px" 是否验试="验试" 验证表单名="form1"></cc1:formvalidation>
            </td>
        </tr>
        <tr>
            <td  style="height: 27px" width="223">姓名:</td>
            <td  style="height: 27px" width="787"><cc1:formvalidation id="CX_Gbook_Creater" runat="server" maxlength="50"
                    width="99px"></cc1:formvalidation></td>
        </tr>
        <tr>
            <td  style="height: 27px">留言咨询医生:</td>
            <td  style="height: 27px"><asp:DropDownList ID="CX_Gbook_Doctor" runat="server">
                </asp:DropDownList></td>
        </tr>
        <tr>
            <td  style="height: 27px">来自:</td>
            <td  style="height: 27px"><select id="CX_Gbook_From" name="CX_Gbook_From">
               
                            <option value="未知" selected>未知</option>
                            <option value="北京">北京</option>
                            <option value="上海">上海</option>
                            <option value="天津">天津</option>
                            <option value="重庆">重庆</option>
                            <option value="河北">河北</option>
                            <option value="山西">山西</option>
                            <option value="内蒙古">内蒙古</option>
                            <option value="辽宁">辽宁</option>
                            <option value="吉林">吉林</option>
                            <option value="黑龙江">黑龙江</option>
                            <option value="江苏">江苏</option>
                            <option value="浙江">浙江</option>
                            <option value="安徽">安徽</option>
                            <option value="福建">福建</option>
                            <option value="江西">江西</option>
                            <option value="山东">山东</option>
                            <option value="河南">河南</option>
                            <option value="湖北">湖北</option>
                            <option value="湖南">湖南</option>
                            <option value="广东">广东</option>
                            <option value="广西">广西</option>
                            <option value="海南">海南</option>
                            <option value="四川">四川</option>
                            <option value="贵州">贵州</option>
                            <option value="云南">云南</option>
                            <option value="西藏">西藏</option>
                            <option value="陕西">陕西</option>
                            <option value="甘肃">甘肃</option>
                            <option value="宁夏">宁夏</option>
                            <option value="青海">青海</option>
                            <option value="新疆">新疆</option>
                            <option value="香港">香港</option>
                            <option value="澳门">澳门</option>
                            <option value="台湾">台湾</option>
                            <option value="海外">海外</option>
                
                </select></td>
        </tr>
        
        <tr>
            <td  style="height: 27px">联系地址:</td>
            <td  style="height: 27px"><cc1:formvalidation id="CX_Gbook_Address" runat="server" maxlength="80"
                    width="368px"></cc1:formvalidation></td>
        </tr>
        <!-- 这里显示上传图片 -->
         <tr id="cc" >
            <td  style="height: 27px">联系电话:</td>
            <td  style="height: 27px"><cc1:formvalidation id="CX_Gbook_Tel" runat="server" maxlength="20"
                    width="152px"></cc1:formvalidation></td>
        </tr>
       
        <tr>
            <td  style="height: 27px">QQ:</td>
            <td  style="height: 27px"><cc1:formvalidation id="CX_Gbook_QQ" runat="server" maxlength="11"
                    width="122px" datatype="QQ" 是否验试="验试"></cc1:formvalidation></td>
        </tr>
        <tr>
          <td  height="27">E-mail : </td>
          <td  height="27"><cc1:formvalidation id="CX_Gbook_Email" runat="server" maxlength="30"
                  width="179px"></cc1:formvalidation></td>
        </tr>
        <tr>
          <td  style="height: 27px">性别</td>
          <td  style="height: 27px">
              
              <input id="Radio1" type="radio" name="CX_Gbook_Sex" value="男" />男
              <input id="Radio2" type="radio" name="CX_Gbook_Sex"  value="女"  checked="checked" />女
              </td>
        </tr>
        <tr>
          <td style="height: 27px">
              悄悄话:</td>
          <td style="height: 27px">
              <input id="CX_Gbook_lx" type="checkbox" value="1" runat="server" /></td>
        </tr>
        <tr>
          <td  style="height: 27px">内容:</td>
          <td  style="height: 27px"><cc1:formvalidation id="CX_Gbook_Cont" runat="server" maxlength="8000"
                  width="435px" Height="173px"></cc1:formvalidation></td>
        </tr>
        <tr>
            <td  colspan="2" style="height: 27px">
            <center >
                <asp:Button ID="Button1" runat="server" Text="提交" /></center>            </td>
        </tr>
    </table>

    </div>
    </form>
</body>
</html>
